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And so Im using it differently and we only keep the dose really low if patients are doing all the things

Managing Side Effects : Patients should be informed about common side effects, such as nausea or injection site reactions, and strategies to manage them

Studies also show that results can last for two years or more when treatment continues

However, the protective effect was strongest in patients with obesity and absent in non-obese patients, strongly suggesting that benefits are heavily confounded by weight loss and metabolic improvement rather than direct gut anti-inflammation (101)